Searchable Title

Developing a Clinician Friendly Tool to Identify Useful Clinical Practice Guidelines: G-TRUST. Copyright: Annals of Family Medicine.

Reference Type

Journal Article

Authors, Section

Shaughnessy, A. F.; Vaswani, A.; Andrews, B. K.; Erlich, D. R.; D'Amico, F.; Lexchin, J.; Cosgrove, L.

Title, Section

Developing a Clinician Friendly Tool to Identify Useful Clinical Practice Guidelines: G-TRUST. Copyright: Annals of Family Medicine.

Publication Year

2017

Journal Title

Annals of Family Medicine

Volume

15

Issue

5

Pages

413-418

Availability

online

PMID

PMID: 28893810

DOI

10.1370/afm.2119

Abstract

BACKGROUND: Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful practice guidelines, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST). METHODS: A modified Delphi process was used to obtain consensus of experts and guideline developers regarding a checklist of items and their relative impact on guideline quality. We conducted 4 rounds of sampling to refine wording, add and subtract items, and develop a scoring system. Multiple attribute utility analysis was used to develop a weighted utility score for each item to determine scoring. RESULTS: Twenty-two experts in evidence-based medicine, 17 developers of high-quality guidelines, and 1 consumer representative participated. In rounds 1 and 2, items were rewritten or dropped, and 2 items were added. In round 3, weighted scores were calculated from rankings and relative weights assigned by the expert panel. In the last round, more than 75% of experts indicated 3 of the 8 checklist items to be major indicators of guideline usefulness and, using the AGREE tool as a reference standard, a scoring system was developed to identify guidelines as useful, may not be useful, and not useful. CONCLUSION: The 8-item G-TRUST is potentially helpful as a tool for clinicians to identify useful guidelines. Further research will focus on its reliability when used by clinicians.

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